Active NPI
Anna Conner Polk, LPC
- Professional Counselor
- Summerville, SC
National Provider Identifier
1376593376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2636
- Practice address
- 709 Old Trolley Rd
Summerville, SC 29485-5203 - Phone
- (843) 900-6767
- Fax
- (843) 285-5916
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2636 | SC | Primary |
Addresses
Primary practice location
709 Old Trolley Rd
Summerville, SC 29485-5203
Mailing address
709 Old Trolley Rd
Summerville, SC 29485-5203
Phone (843) 900-6767
Other names 1
- Ms. Anna Conner Musolf
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2636 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1376593376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 OLD TROLLEY RD",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294855203",
"telephone_number": "843-900-6767",
"fax_number": "843-285-5916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 OLD TROLLEY RD",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294855203",
"telephone_number": "843-900-6767",
"fax_number": "843-285-5916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLK",
"first_name": "ANNA",
"middle_name": "CONNER",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "2636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "MUSOLF",
"middle_name": "CONNER",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.